Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Insurance terms 1

Fraud Intentional deception or misrepresentation that could result in an unauthorized payment.
Abuse Actions inconsistent with accepted, sound medical, business, or fiscal practices.
Scope of practice Defines a profession, delineates qualifications and responsibilities, and clarifies supervision requirements.
Respondent Superior Latin for "Let the master answer" which means that employer is liable for the actions and omissions of employees as performed and committed within the scope of their employment.
Statute of limitations A statute prescribing a period of limitation for the bringing of certain kinds of legal action.
Subpoena An order of the court that requires a witness to appear at a particular time and place to testify.
Stand-alone code CPT code that includes a complete description of the procedure or service.
Medical Malpractice insurance It is a type of liability insurance that covers physicians and other health care professionals for liability relating to claims arising from patient treatment
Medical Necessity It involves linking every procedure or service code reported on the claim to a condition code that justifies the need to perform that procedure or service.
Preauthorization Prior Approval
Remittance Advice(Remit) It is a notice sent by the insurance company that contains payment information about a claim.
Coinsurance The percentage the patient pays for covered services after the deductible has been met and the copayment has been paid.
ABN Advance Beneficiary Notice
ADA Americans with Disabilities Act
CHAMPUS Civilian Health and Medical Program of the Uniformed Services
CHAMPVA Civilian Health and Medical Program of Veterans Affairs
CMS Centers for Medicare and Medicaid Services
CMS 1500 Insurance claim used by non-institutional and other selected providers and suppliers to bill payers.
COBRA Consolidated Omnibus Reconciliation Act
CPT Current Procedural Terminology
DEERS Defense Enrollment Eligibility Reporting System
DME Durable Medical Equipment
DRG Diagnosis Related Group
EDI Electronic Data Interchange
Created by: mirandaag.
Popular Insurance sets




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards